NPI | 1366518102 |
---|---|
Doing Business As | WAYNE COUNTY COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DAVID M KELLER Md 765-973-9294 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2006-11-24 |
Last Update Date | 2016-05-11 |